HbA1c Modestly Affects Predicted Atherosclerotic CVD Risk

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HbA1c has modest predictive effect on predicted heart disease risk.
HbA1c has modest predictive effect on predicted heart disease risk.

(HealthDay News) — In the context of conventional cardiovascular disease (CVD) risk factors, HbA1c has a modest effect on predicted atherosclerotic CVD risk, according to a study published in Circulation: Cardiovascular Quality and Outcomes.

Jamie A. Jarmul, from the University of North Carolina at Chapel Hill, and colleagues examined the effect of HbA1c on CVD risk in the context of other CVD risk factors. HbA1c and other CVD risk factor measurements were analyzed in 2,000 individuals aged 40 to 79 years without preexisting diabetes or CVD. 

For a set of example scenarios, post-test 10-year atherosclerotic CVD risk was calculated incorporating the actual vs. predicted HbA1c, according to established methods.

Significant predictors in the model included age, sex, race/ethnicity and traditional cardiovascular (CV) risk factors, with the expected HbA1c distribution significantly higher in non-Hispanic black, non-Hispanic Asian and Hispanic individuals vs. non-Hispanic whites/others, according to the researchers.

A modest effect was seen on post-test atherosclerotic CVD risk for incorporation of the expected HbA1c distribution into pretest atherosclerotic CVD risk. In the patient examples, depending on the scenario, HbA1c of <5.7% reduced post-test risk by 0.4% to 2.0%, while having HbA1c of ≥6.5% increased post-test risk by 1.0% to 2.5%.

"HbA1c has modest effects on predicted atherosclerotic CVD risk when considered in the context of conventional risk factors," the researchers wrote.

Reference

  1. Jarmul JA, Pignone M, Pletcher MJ. Circ Cardiovasc Qual Outcomes. 2015;doi:10.1161/CIRCOUTCOMES.115.001639.
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